CoCOnlineApps

Normal Birth Registration

Normal Birth Report

Application Number Application Status Date of Application
Date of Birth (Eg:dd/mm/yyyy) Registration Number Birth Report Category
Details Of Birth
Gender
Child's Name Father's Name Mother's Name
Child's Name(In Malayalam) Father's Name(In Malayalam) Mother's Name(In Malayalam)
Permanent Address of Parents
* Either House Name, Flat Name/Residence Association or Flat Number/Residence Association is mandatory.

House Name Flat Name/ Residence Association Flat Number / Residence Association
House Name(In Malayalam) Flat Name/ Residence Association(In Malayalam) Flat Number / Residence Association(In Malayalam)
Ward Number Building Number Street Name
Street Name(In Malayalam)
Country
State
District
Pincode
Mode of Communication
Telephone Number (Eg:04846618993) Mobile Number (Eg:9495537231) Email Address (Eg:abc@def.com)
Locality Place PostOffice
Locality(In Malayalam) Place(In Malayalam) PostOffice(In Malayalam)
Present Address of Parents
* Either House Name, Flat Name/Residence Association or Flat Number/Residence Association is mandatory.

 Same as Permanent Address  
House Name Flat Name/ Residence Association Flat Number / Residence Association
House Name(In Malayalam) Flat Name/ Residence Association(In Malayalam) Flat Number / Residence Association(In Malayalam)
Ward Number Building Number Street Name
Street Name(In Malayalam)
Country
State
District
Pincode
Mode of Communication
Telephone Number (Eg:04846618993) Mobile Number (Eg:9495537231) Email Address (Eg:abc@def.com)
Locality Place PostOffice
Locality(In Malayalam) Place(In Malayalam) PostOffice(In Malayalam)
Place of Birth
Place of Birth Name of Institution Address of House
Doctor's Name OP/IP Number
Circle Office* Address of House(In Malayalam)
Applicant Details
Name of the Applicant Address of the Applicant
Residency Details of Parents
Place
Rural/Urban Name of Rural Area Name of Urban Area
Country State
District
Pincode
Statistical Details
Religion of the Family Religion(Others)*
Educational Qualification of Father Educational Qualification of Mother
Father's Occupation Mother's Occupation Mother's age at the time of Marriage
Mother's age at the time of Delivery Number of Children Nursing received during delivery
Type of Delivery Weight of the Child Pregnancy Period (in weeks)
Remittance Details
Category of Application Fee to be Paid
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